Therapies for this condition
Four options, four roles.
Hip, back, and SI pain often has more than one source, so we often pair treatments: a joint injection plus ligament support, or a joint injection plus nerve decompression. When it makes sense, we do both in the same visit.
01 · Platelet-rich plasma
Platelet-rich plasma (PRP)
Blood-derived · in-office · 60–90 min
Concentrated platelets and growth factors from your own blood, prepared in our lab and delivered into the target tissue under ultrasound guidance. There is more published research on PRP for joints and tendons than on any other autologous biologic.
- Best fit when
- Hip OA (mild-to-moderate) with mechanical pain
- Pain from the small joints of the spine (facet joints), confirmed on imaging or with a numbing test injection (diagnostic block)
- Anchor therapy when combining with prolo or hydrodissection
Read the full Platelet-rich plasma page →
02 · Ligament & joint stabilization
Prolotherapy
Dextrose-based · aims to start a local repair response
A series of small injections of a dextrose (sugar) solution into ligaments and the points where they attach to bone. The goal is a local repair response and a more stable joint. We use it mainly when a loose ligament (laxity) is the main problem. It does not rebuild cartilage.
- Best fit when
- SI joint instability or pelvic ligament laxity
- Chronic low-back pain from posterior ligament strain
- Recurrent symptoms after PT and manual therapy
Read the full Prolotherapy page →
03 · Peripheral nerve · entrapment relief
LD-PRP Hydrodissection
Ultrasound-guided · low-density PRP or D5W
Under ultrasound guidance, we inject fluid around a trapped nerve to separate it from the scar tissue (adhesions) pressing on it. The fluid is either low-density PRP (LD-PRP) or D5W, a 5% dextrose solution.
- Best fit when
- Sciatic, femoral, or pudendal nerve entrapment
- Pain that travels along a nerve's path (radicular pain), with compression confirmed on imaging
- Burning or electric pain in the patch of skin one nerve supplies (a dermatome)
Read the full LD-PRP Hydrodissection page →
04 · Autologous tissue · adipose
Microfragmented adipose (mFAT)
Adipose-derived · same-day · image-guided
Your own fat, taken by a brief mini-liposuction, microfragmented and rinsed in the same procedure, and placed into the hip joint under image guidance as cushioning and structural support.
- Best fit when
- Wear in the hip joint itself, rather than mainly the back or SI joint
- Wanting an option that adds cushioning to the joint
Read the full Microfragmented adipose page →
